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Congenital heart defect

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1623: 257:. In 2015, they were present in 48.9 million people globally. They affect between 4 and 75 per 1,000 live births, depending upon how they are diagnosed. In about 6 to 19 per 1,000 they cause a moderate to severe degree of problems. Congenital heart defects are the leading cause of birth defect-related deaths: in 2015, they resulted in 303,300 deaths, down from 366,000 deaths in 1990. The cause of a congenital heart defect is often unknown. Risk factors include certain infections during 1588:
with a dysfunctional conduit in their right ventricular outflow tract (RVOT). The RVOT is the connection between the heart and lungs; once blood reaches the lungs, it is enriched with oxygen before being pumped to the rest of the body. Transcatheter pulmonary valve technology provides a less-invasive means to extend the life of a failed RVOT conduit and is designed to allow physicians to deliver a replacement pulmonary valve via a catheter through the patient's blood vessels.
341: 51: 1119:. The foramen ovale stays open because of the flow of blood from the right atrium to the left atrium. As the lungs expand, blood flows easily through the lungs and the membranous portion of the foramen ovale (the septum primum) flops over the muscular portion (the septum secundum). If the closure is incomplete, the result is a 1043:, which is the source of a variety of cells found throughout the body. On day 19 of development, a pair of vascular elements, the "endocardial tubes", form. The tubes fuse when cells between then undergo programmed death and cells from the first heart field migrate to the tube, and form a ring of heart cells ( 1139:
stages. Krimski (1963), synthesizing two previous points of view, considered congenital heart diseases as a stop of development at the certain stage of ontogenesis, corresponding to this or that stage of the phylogenesis. Hence these theories can explain feminine and neutral types of defects only.
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Supporting people with chronic diseases such as congenital heart disease with emotional problems and mental health is a treatment consideration. Since some people with congenital heart disease have a lower quality of life that is related to their condition, some people may struggle with finding a
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Interventional cardiology now offers minimally invasive alternatives to surgery for some patients. The Melody Transcatheter Pulmonary Valve (TPV), approved in Europe in 2006 and in the U.S. in 2010 under a Humanitarian Device Exemption (HDE), is designed to treat congenital heart disease patients
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may be helpful for treating some people who have congenital heart disease and depression, however further research is needed to determine the best way to reduce depression including the length of treatments required for an improvement, type of psychotherapy treatments, and how the psychotherapy
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Donofrio, Mary T.; Moon-Grady, Anita J.; Hornberger, Lisa K.; Copel, Joshua A.; Sklansky, Mark S.; Abuhamad, Alfred; Cuneo, Bettina F.; Huhta, James C.; Jonas, Richard A.; Krishnan, Anita; Lacey, Stephanie; Lee, Wesley; Michelfelder, Erik C.; Rempel, Gwen R.; Silverman, Norman H. (2014-05-27).
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CHD may require surgery and medications. Medications include diuretics, which aid the body in eliminating water, salts, and digoxin for strengthening the contraction of the heart. This slows the heartbeat and removes some fluid from tissues. Some defects require surgical procedures to restore
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and differentiation, plays broad roles in several aspects of cardiac development. Notch elements are involved in determination of the right and left sides of the body plan, so the directional folding of the heart tube can be impacted. Notch signaling is involved early in the formation of the
1074:, the main outflow tract is divided in two by the growth a spiraling septum, becoming the great vessels—the ascending segment of the aorta and the pulmonary trunk. If the separation is incomplete, the result is a "persistent truncus arteriosus". The vessels may be reversed (" 875:
endocardial cushions and continues to be active as the develop into the septa and valves. It is also involved in the development of the ventricular wall and the connection of the outflow tract to the great vessels. Mutations in the gene for one of the notch ligands,
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The genes regulating the complex developmental sequence have only been partly elucidated. Some genes are associated with specific defects. A number of genes have been associated with cardiac manifestations. Mutations of a heart muscle protein, α-myosin heavy chain
1227:) is vital to the infant's ability to survive until emergency heart surgery can be performed, since without these pathways blood cannot circulate to the body (or lungs, depending on which side of the heart is defective). Hypoplasia of the heart is generally a 358:
Signs and symptoms are related to type and severity of the heart defect. Symptoms frequently present early in life, but it is possible for some CHDs to go undetected throughout life. Some children have no signs while others may exhibit shortness of breath,
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in which there is cardiac involvement. While the conditions listed are known genetic causes, there are likely many other genes which are more subtle. It is known that the risk for congenital heart defects is higher when there is a close relative with one.
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Crymskiy LD (1963). "Patologicheskaya anatomiya vrozhdennykh porokov serdtsa i oslozhneniy posle ikh khirurgicheskogo lecheniya" [Pathological anatomy of congenital heart defects and complications after their surgical treatment.].
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also interacts with MYH6. Mutations of all these proteins are associated with both atrial and ventricular septal defects; In addition, NKX2-5 is associated with defects in the electrical conduction of the heart and TBX5 is related to the
1070:", fuse to form the four chambers of the heart. A failure to fuse properly will result in a defect that may allow blood to leak between chambers. After this happens, cells that have migrated from the neural crest begin to divide the 2176:"Global, regional, and national incidence, prevalence, and years lived with disability for 301 acute and chronic diseases and injuries in 188 countries, 1990-2013: a systematic analysis for the Global Burden of Disease Study 2013" 1031:") has been studied extensively and the genes that control the process are being elucidated. Around day 15 of development, the cells that will become the heart exist in two horseshoe shaped bands of the middle tissue layer ( 1089:. The lungs are unexpanded and cannot accommodate the full circulatory volume. Two structures exist to shunt blood flow away from the lungs. Cells in part of the septum primum die creating a hole while muscle cells, the " 3589:
Leo, Donato Giuseppe; Islam, Umar; Lotto, Robyn R; Lotto, Attilio; Lane, Deirdre A (2023-10-03). Cochrane Heart Group (ed.). "Psychological interventions for depression in adolescent and adult congenital heart disease".
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Many people require lifelong specialized cardiac care, first with a pediatric cardiologist and later with an adult congenital cardiologist. There are more than 1.8 million adults living with congenital heart defects.
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At day 22, the circulatory system is bilaterally symmetrical with paired vessels on each side and the heart consisting of a simple tube located in the midline of the body layout. The portions that will become the
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There is a complex sequence of events that result in a well formed heart at birth and disruption of any portion may result in a defect. The orderly timing of cell growth, cell migration, and programmed cell death
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Congenital heart disease caused 261,247 deaths (95% uncertainty interval 216,567–308,159) globally in 2017, a 34.5% decline from 1990, with 180,624 deaths (146,825–214,178) being among infants (aged <1
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GBD 2017 Congenital Heart Disease Collaborators (2020). "Global, regional, and national burden of congenital heart disease, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017".
2263:"Global, regional, and national life expectancy, all-cause mortality, and cause-specific mortality for 249 causes of death, 1980-2015: a systematic analysis for the Global Burden of Disease Study 2015" 371:, under-development of limbs and muscles, poor feeding or growth, or respiratory infections. Congenital heart defects cause abnormal heart structure resulting in production of certain sounds called 2057:"Global, regional, and national incidence, prevalence, and years lived with disability for 310 diseases and injuries, 1990-2015: a systematic analysis for the Global Burden of Disease Study 2015" 3435: 1178:
A number of classification systems exist for congenital heart defects. In 2000 the International Congenital Heart Surgery Nomenclature was developed to provide a generic classification system.
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Cunningham, Bridget K.; Hadley, Donald W.; Hannoush, Hwaida; Meltzer, Andrew C.; Niforatos, Nickie; Pineda-Alvarez, Daniel; Sachdev, Vandana; Warren-Mora, Nicole; Solomon, Benjamin D. (2013).
3950: 242:. Signs and symptoms depend on the specific type of defect. Symptoms can vary from none to life-threatening. When present, symptoms are variable and may include rapid breathing, bluish skin ( 2312:"Global, regional, and national age-sex specific all-cause and cause-specific mortality for 240 causes of death, 1990-2013: a systematic analysis for the Global Burden of Disease Study 2013" 1008:
increases, the risk of heart defects also increases. A distinct physiological mechanism has not been identified to explain the link between maternal obesity and CHD, but both pre-pregnancy
1696:, occurring in 1% of live births (2–3% including bicuspid aortic valve). In 2013, 34.3 million people had CHD. In 2010, they resulted in 223,000 deaths, down from 278,000 deaths in 1990. 1711:
Congenital heart defects are known by a number of names including congenital heart anomaly, congenital heart disease, heart defects, and congenital cardiovascular malformations.
1078:"). The two halves of the split tract must migrate into the correct positions over the appropriate ventricles. A failure may result in some blood flowing into the wrong vessel ( 3992: 1503:
Some conditions affect the great vessels or other vessels in close proximity to the heart, but not the heart itself, but are often classified as congenital heart defects.
1093:", grow along the right atrial side the septum primum, except for one region, leaving a gap through which blood can pass from the right artium to the left atrium, the 246:), poor weight gain, and feeling tired. CHD does not cause chest pain. Most congenital heart defects are not associated with other diseases. A complication of CHD is 3762:"Management of Pregnancy in Patients With Complex Congenital Heart Disease: A Scientific Statement for Healthcare Professionals From the American Heart Association" 1265:, with other types such as bicuspid aortic valve stenosis and subaortic stenosis being comparatively rare. Any narrowing or blockage can cause heart enlargement or 1170:
If a baby is born with a septal defect or an obstruction defect, often their symptoms are only noticeable after several months or sometimes even after many years.
3306: 1703:), the recurrence risk in offspring is 3–5%. This risk is higher in left ventricular outflow tract obstructions, heterotaxy, and atrioventricular septal defects. 277:
in the mother. Having a parent with a congenital heart defect is also a risk factor. A number of genetic conditions are associated with heart defects, including
1541: 3631:"Global and regional mortality from 235 causes of death for 20 age groups in 1990 and 2010: a systematic analysis for the Global Burden of Disease Study 2010" 4345: 1547: 1329: 4043: 2055:
Vos T, Allen C, Arora M, Barber RM, Bhutta ZA, Brown A, et al. (GBD 2015 Disease and Injury Incidence and Prevalence Collaborators) (October 2016).
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If a baby is born with cyanotic heart disease, the diagnosis is usually made shortly after birth due to the blue colour of their skin (called cyanosis).
642:) are associated with atrial septal defects. Several proteins that interact with MYH6 are also associated with cardiac defects. The transcription factor 3397: 1622: 3419: 1055:
and will be located closest to the head are the most distant from the head. From days 23 through 28, the heart tube folds and twists, with the future
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Vos T, Barber RM, Bell B, Bertozzi-Villa A, Biryukov S, Bolliger I, et al. (Global Burden of Disease Study 2013 Collaborators) (August 2015).
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Wang H, Naghavi M, Allen C, Barber RM, Bhutta ZA, Carter A, et al. (GBD 2015 Mortality and Causes of Death Collaborators) (January 2015).
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Wang H, Naghavi M, Allen C, Barber RM, Bhutta ZA, Carter A, et al. (GBD 2015 Mortality and Causes of Death Collaborators) (October 2016).
1896: 3429: 3275: 3078: 2929: 2575: 2390: 1862: 1720: 1240: 3805: 1803: 1123:. The two flaps may fuse, but many adults have a foramen ovale that stays closed only because of the pressure difference between the atria. 3453: 387:
Congenital heart defects are associated with an increased incidence of seven other specific medical conditions, together being called the
297:, depending on whether the child has the potential to turn bluish in color. The defects may involve the interior walls of the heart, the 4376: 2247: 1156:. This is a test which can be done during the second trimester of pregnancy, when the woman is about 18–24 weeks pregnant. It can be an 3955: 2030: 4121: 4080: 4038: 3484: 1466: 1337: 1075: 679:
might be part of these molecular pathways, as when their genes are mutated, this causes phenotypes similar to the features present in
460: 3122:"Parental alcohol consumption and the risk of congenital heart diseases in offspring: An updated systematic review and meta-analysis" 4371: 3978: 2241: 4298: 1429: 1216: 1191: 3536: 1857:. World Health Organization in collaboration with the World Heart Federation and the World Stroke Organization. pp. 3, 60. 4303: 4193: 2364: 1423: 1212: 1187: 1062:
On day 28, areas of tissue in the heart tube begin to expand inwards; after about two weeks, these expansions, the membranous "
455:(ToF) are the most common congenital heart defects seen in the VACTERL association. Less common defects in the association are 4113: 1369: 4188: 4055: 4026: 1445: 1402: 1358: 1325: 941: 553: 561: 4018: 600: 482:, often sporadic, represent the largest known cause of congenital heart defects. They are described in the table below. 1413: 1396: 557: 889:
in 13% of cases), liver, eyes, face, and bones. Though less than 1% of all cases, where no defects are found in the
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is also associated with calcification of the aortic valve, the third most common cause of heart disease in adults.
4031: 2146: 4095: 4085: 3066: 1490: 1294: 691:, the most common deletion which has extensive symptoms including defects of the cardiac outflow tract including 575: 444: 414: 294: 112: 59: 4215: 4183: 3884: 1529: 1507: 1220: 408: 3702:"Diagnosis and treatment of fetal cardiac disease: a scientific statement from the American Heart Association" 3393: 4340: 4210: 1523: 1290: 1161: 867: 93: 756: 680: 660: 587: 4163: 4142: 3506: 1725: 1153: 624: 239: 3098: 4350: 4253: 4243: 4062: 1849: 1566: 1375: 1313: 1228: 1094: 910: 664: 541: 329: 290: 172: 108: 2827:"Pygo genes cause congenital heart defects by tissue-specific perturbation of Wnt/β-catenin signaling" 2776:"Whole-exome sequencing identifies R1279X of MYH6 gene to be associated with congenital heart disease" 332:
may be required. With appropriate treatment, outcomes are generally good, even with complex problems.
4270: 4248: 4220: 4149: 4072: 1981: 1408: 1385: 1363: 1302: 1298: 1224: 1157: 1120: 1067: 974: 448: 320:
to certain food products. Some defects do not need treatment. Others may be effectively treated with
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allow blood to flow from the left side of the heart to the right, reducing the heart's efficiency.
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Canobbio MM, Warnes CA, Aboulhosn J, Connolly HM, Khanna A, Koos BJ, et al. (February 2017).
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Blue GM, Kirk EP, Giannoulatou E, Sholler GF, Dunwoodie SL, Harvey RP, Winlaw DS (February 2017).
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are collectively the most common type of CHD, although approximately 30% of adults have a type of
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moving left of center (the ultimate location of the heart) and the atria moving towards the head.
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CantĂą C, Felker A, Zimmerli D, Prummel KD, Cabello EM, Chiavacci E, et al. (November 2018).
1795: 1513: 1455: 1286: 1262: 1149: 993:). Alcohol exposure in the father also appears to increase the risk of congenital heart defects. 966: 456: 420: 364: 321: 164: 79: 1609:
as examples. An estimated 31% of adults with congenital heart disease also have mood disorders.
1047:) around it by day 21. On day 22, the heart begins to beat and by day 24, blood is circulating. 3480: 3449: 1211:
effectively. Hypoplasia of the heart is rare but is the most serious form of CHD. It is called
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Rokitansky (1875) explained congenital heart defects as breaks in heart development at various
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The cause of congenital heart disease may be genetic, environmental, or a combination of both.
4205: 3924: 3895: 3783: 3731: 3723: 3670: 3611: 3425: 3271: 3241: 3200: 3143: 3074: 3044: 2995: 2968: 2925: 2902: 2856: 2807: 2756: 2707: 2666: 2617: 2571: 2545: 2527: 2485: 2467: 2421: 2341: 2292: 2237: 2205: 2086: 1956: 1858: 1768: 1606: 1535: 1485: 1450: 1440: 1341: 1254: 1099: 1056: 1021: 1009: 982: 937: 882: 856: 761: 688: 619: 595: 549: 479: 67: 2229: 4335: 4330: 3773: 3713: 3660: 3650: 3642: 3607: 3599: 3329: 3231: 3190: 3182: 3133: 3034: 3026: 2958: 2892: 2846: 2838: 2797: 2787: 2746: 2738: 2697: 2656: 2648: 2607: 2535: 2519: 2475: 2457: 2331: 2323: 2282: 2274: 2195: 2187: 2122: 2114: 2076: 2068: 1946: 1936: 1758: 1104: 1082: 1005: 933: 723: 521: 344: 2022: 4325: 4265: 4200: 4178: 3945: 3629:
Lozano R, Naghavi M, Foreman K, Lim S, Shibuya K, Aboyans V, et al. (December 2012).
1435: 1353: 1258: 1200: 1090: 986: 929: 591: 529: 500: 325: 286: 282: 168: 3665: 2540: 2507: 1207:. This causes only one side of the heart to be capable of pumping blood to the body and 340: 3718: 3701: 3195: 3170: 3039: 3014: 2851: 2826: 2802: 2775: 2751: 2726: 2661: 2636: 2480: 2445: 2336: 2311: 2287: 2262: 2200: 2175: 2081: 2056: 1951: 1924: 1380: 1204: 1116: 1052: 517: 437: 148: 3646: 2327: 2278: 2191: 2118: 2072: 1763: 1746: 899:
gene. In 10% of cases, no mutation is found in either gene. For another member of the
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which includes electrical conduction defects and abnormalities of the upper limb. The
4365: 4293: 4137: 3940: 3655: 3532: 3155: 1610: 1071: 1063: 921: 885:), characterized by defects of the great vessels (pulmonary artery stenosis), heart ( 525: 430: 302: 278: 247: 231: 98: 58:
The normal structure of the heart (left) in comparison to two common locations for a
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Virchows Archiv fĂĽr Pathologische Anatomie und Physiologie und fĂĽr Klinische Medizin
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when it affects the right side of the heart. In both conditions, the presence of a
1136: 1086: 1040: 508: 402: 376: 372: 368: 298: 254: 3376: 2963: 2946: 2742: 2702: 2685: 17: 3889: 3778: 3761: 4308: 3919: 3371: 1282: 1132: 978: 900: 881:, are identified in the majority of examined cases of arteriohepatic dysplasia ( 871: 127: 3900: 3320:
Spitzer A (May 1923). "Ăśber den Bauplan des normalen und miĂźbildeten Herzens".
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circulation back to normal and in some cases, multiple surgeries are needed.
1085:). The four-chambered heart and the great vessels have features required for 3859: 3855: 3236: 3219: 3186: 3015:"The RASopathies: developmental syndromes of Ras/MAPK pathway dysregulation" 1602: 1028: 970: 954: 534: 258: 179: 136: 3970: 3787: 3735: 3674: 3615: 3245: 3204: 3147: 3120:
Zhang S, Wang L, Yang T, Chen L, Zhao L, Wang T, et al. (March 2020).
3048: 2999: 2972: 2906: 2881:"Making or breaking the heart: from lineage determination to morphogenesis" 2860: 2842: 2811: 2760: 2711: 2670: 2621: 2596:"Advances in the Genetics of Congenital Heart Disease: A Clinician's Guide" 2549: 2489: 2462: 2425: 2345: 2296: 2209: 2090: 1960: 1772: 1115:
The ductus arteriosus stays open because of circulating factors including
3171:"Maternal obesity and congenital heart defects: a population-based study" 1317: 1246: 1199:
can affect the heart, typically resulting in the underdevelopment of the
1036: 1032: 745: 651: 608: 379:; however, not all heart murmurs are caused by congenital heart defects. 360: 348: 243: 85: 2127: 3333: 2523: 1250: 1044: 958: 274: 270: 266: 262: 152: 144: 140: 132: 3838: 50: 3959: 3850: 3421:
Pediatric critical care medicine: basic science and clinical evidence
2637:"The importance of copy number variation in congenital heart disease" 1556:
Some constellations of multiple defects are commonly found together.
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Mills JL, Troendle J, Conley MR, Carter T, Druschel CM (June 2010).
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Genetic Disorders and the Fetus: Diagnosis, Prevention and Treatment
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Obstructive defects occur when heart valves, arteries, or veins are
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For congenital heart defects that arise without a family history (
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Mendis S, Puska P, Norrving B, World Health Organization (2011).
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increases the risk of congenital heart disease. Additionally, as
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22q11.2 deletion/duplication (velocardiofacial/DiGeorge syndrome)
147:, parents being closely related, poor nutritional status, taking 3097:. Lucile Packard Children's Hospital at Stanford. Archived from 2512:
Birth Defects Research Part A: Clinical and Molecular Teratology
1208: 925: 877: 684: 668: 647: 639: 3974: 273:, parents being closely related, or poor nutritional status or 1796:"What Are the Signs and Symptoms of Congenital Heart Defects?" 1626:
Congenital heart anomalies deaths per million persons in 2012
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pathway are responsible for a variety of syndromes, including
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Spinner NB, Gilbert MA, Loomes KM, Krantz ID (20 July 2010).
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Global Atlas on Cardiovascular Disease Prevention and Control
1223:(and, when hypoplasia affects the right side of the heart, a 1035:), and some cells migrate from a portion of the outer layer ( 289:. Congenital heart defects are divided into two main groups: 27:
Defect in the structure of the heart that is present at birth
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Thomas, Seth L.; Heaton, Joseph; Makaryus, Amgad N. (2024),
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stages. Spitzer (1923) treats them as returns to one of the
1320:, a bluish-grey discoloration of the skin due to a lack of 2924:(5th ed.). W.B. Saunders. pp. 316–317, 616–617. 328:. Occasionally a number of operations may be needed, or a 2990:. In Adam MP, Ardinger HH, Pagon RA, et al. (eds.). 1925:"Preconception care: nutritional risks and interventions" 2635:
Costain G, Silversides CK, Bassett AS (September 2016).
1923:
Dean SV, Lassi ZS, Imam AM, Bhutta ZA (September 2014).
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Congenital heart defects are partly preventable through
62:(right), the most common form of congenital heart defect 3220:"Prepregnancy obesity and birth defects: what's next?" 2508:"Analysis of cardiac anomalies in VACTERL association" 3828: 3394:"Congenital heart disease - Diagnosis - NHS Choices" 4285: 4231: 4171: 4162: 4130: 4112: 4094: 4071: 4017: 4008: 3910: 3832: 3065:Schoen FJ, Richard N M (2010). "12. The Heart". In 2922:
Smith's recognizable patterns of human malformation
2727:"Genetics and Genomics of Congenital Heart Disease" 2589: 2587: 1277:The septum is a wall of tissue which separates the 1012:and diabetes have been implicated in some studies. 196: 188: 178: 159: 126: 118: 104: 92: 78: 66: 40: 35: 3095:"Factors Contributing to Congenital Heart Disease" 699:Examples of gene products and associated features 44:Congenital heart anomaly, congenital heart disease 3266:Larsen WJ (1993). "7. Development of the Heart". 2686:"Changing Landscape of Congenital Heart Disease" 569:(also known as chromosomal microarray analysis) 2420:, Treasure Island (FL): StatPearls Publishing, 1601:job, engaging in physical exercise, with their 1520:, and other malformations of the great arteries 1359:Arrhythmogenic right ventricular cardiomyopathy 1215:when it affects the left side of the heart and 650:which interacts with MYH6. Another factor, the 3071:Robbins and Cotran Pathologic Basis of Disease 920:Mutations of a cell regulatory mechanism, the 913:, a valve with two leaflets instead of three. 265:, use of certain medications or drugs such as 3986: 3019:Current Opinion in Genetics & Development 2874: 2872: 2870: 2600:Journal of the American College of Cardiology 2568:Essential Cardiology: Principles and Practice 1751:Journal of the American College of Cardiology 1542:Partial anomalous pulmonary venous connection 687:, is involved in velo-cardio-facial syndrome 253:Congenital heart defects are the most common 8: 4346:Anomalous aortic origin of a coronary artery 2050: 2048: 1790: 1788: 1786: 1784: 1782: 953:Known environmental factors include certain 516:Survivable autosomal trisomies (chromosomes 238:. A congenital heart defect is classed as a 2387:"National Heart, Lung, and Blood Institute" 1982:"How Are Congenital Heart Defects Treated?" 1976: 1974: 1972: 1970: 1883: 1881: 1747:"The incidence of congenital heart disease" 1548:Total anomalous pulmonary venous connection 1330:total anomalous pulmonary venous connection 618:Mutations in genes highly expressed during 562:15q11.2 deletion (Burnside-Butler syndrome) 4168: 4014: 3993: 3979: 3971: 3829: 3802:"Other Names for Congenital Heart Defects" 3305:: CS1 maint: location missing publisher ( 3224:The American Journal of Clinical Nutrition 3175:The American Journal of Clinical Nutrition 3060: 3058: 2223: 2221: 2219: 2169: 2167: 1918: 1916: 1914: 1893:National, Heart, Lung, and Blood Institute 1843: 1841: 1472:dextro-Transposition of the great arteries 49: 32: 3777: 3717: 3664: 3654: 3388: 3386: 3384: 3261: 3259: 3257: 3255: 3235: 3194: 3137: 3126:European Journal of Preventive Cardiology 3038: 2962: 2896: 2850: 2801: 2791: 2750: 2701: 2660: 2611: 2570:. Totowa, NJ: Humana Press. p. 393. 2539: 2479: 2461: 2335: 2286: 2199: 2126: 2080: 2027:National Heart, Lung, and Blood Institute 2017: 2015: 2013: 2011: 2009: 2007: 1986:National Heart, Lung, and Blood Institute 1950: 1940: 1839: 1837: 1835: 1833: 1831: 1829: 1827: 1825: 1823: 1821: 1800:National Heart, Lung, and Blood Institute 1762: 3949:) is being considered for deletion. See 3535:. University of California at Berkeley. 3418:Shanley TP, Wheeler DS, Wong HR (2007). 3293:Die defecte der Scheidewande des Herzens 2947:"Notch signaling in cardiac development" 1692:Heart defects are among the most common 1478:levo-Transposition of the great arteries 697: 484: 3592:Cochrane Database of Systematic Reviews 3069:, Abbas AK, Fausto N, Aster JC (eds.). 2561: 2559: 1889:"What Causes Congenital Heart Defects?" 1737: 1316:are called such because they result in 567:Array comparative genomic hybridization 530:chromosome X monosomy (Turner syndrome) 3561:. Adult Congenital Heart Association. 3475: 3473: 3471: 3298: 3218:Rasmussen SA, Galuska DA (June 2010). 226:, is a defect in the structure of the 220:congenital cardiovascular malformation 3755: 3753: 3694: 3692: 3584: 3582: 3580: 2994:. University of Washington, Seattle. 2501: 2499: 1241:Ventricular outflow tract obstruction 1148:Many congenital heart defects can be 375:. These can sometimes be detected by 7: 3559:"Adult Congenital Heart Association" 2774:Razmara E, Garshasbi M (July 2018). 2414:"Physiology, Cardiovascular Murmurs" 2023:"What Are Congenital Heart Defects?" 3481:"Congenital Cardiovascular Defects" 3073:(8th ed.). Saunders Elsevier. 2725:Zaidi S, Brueckner M (March 2017). 2444:Solomon, Benjamin D. (2011-08-16). 2033:from the original on 13 August 2015 1574:/ Shone's complex / Shone's anomaly 805:Electrical conduction abnormalities 461:transposition of the great arteries 4081:Sinus venosus atrial septal defect 4039:Transposition of the great vessels 3719:10.1161/01.cir.0000437597.44550.5d 3013:Tidyman WE, Rauen KA (June 2009). 2684:Bouma BJ, Mulder BJ (March 2017). 2393:from the original on 8 August 2010 2367:from the original on 4 August 2010 1745:Hoffman JI, Kaplan S (June 2002). 1721:Congenital Heart Surgeons' Society 1467:Transposition of the great vessels 1338:transposition of the great vessels 1324:in the body. Such defects include 1076:transposition of the great vessels 25: 3953:to help reach a consensus. â€ş 3808:from the original on 27 July 2015 3565:from the original on 20 June 2010 3539:from the original on 18 July 2010 3513:from the original on 18 July 2010 3487:from the original on 20 June 2010 3456:from the original on 11 June 2010 3450:"Hypoplastic Left Heart Syndrome" 3424:. Berlin: Springer. p. 666. 2450:Orphanet Journal of Rare Diseases 2109:. Child & adolescent health. 1992:from the original on 27 July 2015 1806:from the original on 27 July 2015 305:that lead to and from the heart. 88:, poor weight gain, feeling tired 3438:from the original on 2017-03-18. 2945:Niessen K, Karsan A (May 2008). 2250:from the original on 2017-02-22. 2147:"Cardiovascular diseases (CVDs)" 1899:from the original on 8 July 2015 1874:from the original on 2014-08-17. 1430:Hypoplastic right heart syndrome 1217:hypoplastic right heart syndrome 1192:Hypoplastic right heart syndrome 580:small insertion/deletion (indel) 3400:from the original on 2012-02-10 2879:Srivastava D (September 2006). 1424:Hypoplastic left heart syndrome 1213:hypoplastic left heart syndrome 1188:Hypoplastic left heart syndrome 576:single nucleotide variant (SNV) 184:Generally good (with treatment) 4114:Atrioventricular septal defect 3604:10.1002/14651858.CD004372.pub3 3533:"Circulatory Changes at Birth" 2361:"Heart Defects: Birth Defects" 1497:Wolff–Parkinson–White syndrome 1370:Atrioventricular septal defect 1: 4056:Persistent truncus arteriosus 4027:Double outlet right ventricle 3647:10.1016/S0140-6736(12)61728-0 2964:10.1161/CIRCRESAHA.108.174318 2743:10.1161/CIRCRESAHA.116.309140 2703:10.1161/CIRCRESAHA.116.309302 2328:10.1016/S0140-6736(14)61682-2 2279:10.1016/s0140-6736(16)31012-1 2192:10.1016/S0140-6736(15)60692-4 2119:10.1016/S2352-4642(19)30402-X 2073:10.1016/S0140-6736(16)31678-6 1764:10.1016/S0735-1097(02)01886-7 1446:Persistent truncus arteriosus 1414:Early Repolarization Syndrome 1403:Double outlet right ventricle 1326:persistent truncus arteriosus 942:cardiofaciocutaneous syndrome 870:, a regulatory mechanism for 4019:Aortopulmonary septal defect 3779:10.1161/CIR.0000000000000458 2780:BMC Cardiovascular Disorders 991:systemic lupus erythematosus 612:protein-coding SNV or indel 3507:"Ventricular Septal Defect" 2446:"VACTERL/VATER Association" 1397:Double inlet left ventricle 893:gene, defects are found in 822:Outflow tract abnormalities 558:8p23.1 deletion/duplication 351:nail beds in an adult with 316:to salt, and the adding of 4393: 4377:Health issues in pregnancy 2898:10.1016/j.cell.2006.09.003 2613:10.1016/j.jacc.2016.11.060 1942:10.1186/1742-4755-11-s3-s3 1518:aberrant subclavian artery 1303:probe patent foramen ovale 1295:Ventricular septal defects 1238: 1185: 1019: 838:Non-cardiac manifestations 787:Ventricular septal defects 554:q21.1 deletion/duplication 295:non-cyanotic heart defects 113:non-cyanotic heart defects 4096:Ventricular septal defect 3270:. Churchill Livingstone. 3031:10.1016/j.gde.2009.04.001 2793:10.1186/s12872-018-0867-4 2653:10.1038/npjgenmed.2016.31 2236:. John Wiley & Sons. 1491:Ventricular septal defect 1253:. Common defects include 957:during pregnancy such as 909:gene are associated with 646:forms a complex with the 574:Inherited protein-coding 445:Ventricular septal defect 415:Tracheoesophageal fistula 322:catheter based procedures 165:catheter based procedures 60:ventricular septal defect 57: 48: 4372:Congenital heart defects 4002:Congenital heart defects 3967:information for parents. 3965:Congenital heart disease 3951:templates for discussion 3372:MedlinePlus Encyclopedia 3139:10.1177/2047487319874530 2363:. Merck & Co., Inc. 1614:sessions are delivered. 1530:Patent ductus arteriosus 1508:Coarctation of the aorta 1263:coarctation of the aorta 1221:patent ductus arteriosus 981:) and maternal illness ( 847:Upper limb abnormalities 409:Cardiovascular anomalies 224:congenital heart disease 216:congenital heart anomaly 4341:Coronary artery anomaly 3956:Congenital heart defect 3291:Rokitarisky KE (1875). 3237:10.3945/ajcn.2010.29666 3187:10.3945/ajcn.2009.28865 2831:Genes & Development 1524:Interrupted aortic arch 1291:interventricular septum 1162:transvaginal ultrasound 868:notch signaling pathway 208:congenital heart defect 36:Congenital heart defect 4164:Valvular heart disease 4143:Cyanotic heart disease 4086:Lutembacher's syndrome 3377:Fetal echocardiography 2843:10.1101/gad.315531.118 2463:10.1186/1750-1172-6-56 1726:Congenital heart block 1689: 1314:Cyanotic heart defects 1154:fetal echocardiography 1107:to pass to the aorta. 1103:allows blood from the 1097:. A small vessel, the 683:. Another T-box gene, 654:(developmental) gene, 625:Whole exome sequencing 355: 291:cyanotic heart defects 240:cardiovascular disease 109:Cyanotic heart defects 4351:Ventricular inversion 4063:Aortopulmonary window 4032:Taussig–Bing syndrome 3656:10536/DRO/DU:30050819 1625: 1567:Pentalogy of Cantrell 1463:(Tumors of the Heart) 1376:Bicuspid aortic valve 1229:cyanotic heart defect 911:bicuspid aortic valve 860:Facial abnormalities 768:Atrial septal defects 493:Attributable percent 449:atrial septal defects 383:Associated conditions 343: 173:heart transplantation 4150:Eisenmenger syndrome 4073:Atrial septal defect 3509:. eMedicine Health. 2951:Circulation Research 2837:(21–22): 1443–1458. 2731:Circulation Research 2690:Circulation Research 2641:npj Genomic Medicine 2273:(10053): 1459–1544. 2067:(10053): 1545–1602. 1386:Complete heart block 1364:Atrial septal defect 1299:atrial septal defect 1225:patent foramen ovale 1158:abdominal ultrasound 1150:diagnosed prenatally 1121:patent foramen ovale 1068:endocardial cushions 1066:" and the muscular " 542:Copy number variants 151:during pregnancy or 4104:Tetralogy of Fallot 4010:Heart septal defect 2988:"Alagille Syndrome" 2228:Milunsky A (2011). 1929:Reproductive Health 1561:Tetralogy of Fallot 1334:tetralogy of Fallot 1235:Obstructive defects 903:, mutations in the 887:tetralogy of Fallot 700: 693:tetralogy of Fallot 486: 453:tetralogy of Fallot 397:Vertebral anomalies 389:VACTERL association 353:tetralogy of Fallot 310:rubella vaccination 303:large blood vessels 234:that is present at 214:), also known as a 192:48.9 million (2015) 3911:External resources 3641:(9859): 2095–128. 3483:. American Heart. 3452:. American Heart. 3334:10.1007/BF01961720 3295:(in German). Wien. 2566:Hoffman J (2005). 2524:10.1002/bdra.23211 1690: 1514:Double aortic arch 1456:Pulmonary stenosis 1287:interatrial septum 698: 681:Holt-Oram syndrome 661:Holt–Oram syndrome 633:Molecular pathways 588:Holt–Oram syndrome 485: 457:truncus arteriosus 421:Esophageal atresia 356: 336:Signs and symptoms 18:Heart Malformation 4359: 4358: 4281: 4280: 4221:Ebstein's anomaly 4158: 4157: 3934: 3933: 3712:(21): 2183–2242. 3431:978-1-84628-463-2 3277:978-0-443-08724-0 3080:978-1-4160-3121-5 2931:978-0-7216-6115-5 2920:Jones KL (1997). 2577:978-1-58829-370-1 2186:(9995): 743–800. 1864:978-92-4-156437-3 1536:Scimitar syndrome 1486:Tricuspid atresia 1451:Pulmonary atresia 1441:Myocardial bridge 1409:Ebstein's anomaly 1342:tricuspid atresia 1285:. Defects in the 1255:pulmonic stenosis 1247:abnormally narrow 1100:ductus arteriosus 1022:Heart development 1010:folate deficiency 983:diabetes mellitus 938:Costello syndrome 883:Alagille syndrome 864: 863: 689:DiGeorge syndrome 630: 629: 620:heart development 596:Alagille syndrome 480:Genetic mutations 204: 203: 135:infection during 84:Rapid breathing, 30:Medical condition 16:(Redirected from 4384: 4336:Brugada syndrome 4331:Crisscross heart 4201:tricuspid valves 4179:pulmonary valves 4169: 4015: 3995: 3988: 3981: 3972: 3830: 3818: 3817: 3815: 3813: 3804:. July 1, 2011. 3798: 3792: 3791: 3781: 3757: 3748: 3747: 3721: 3696: 3687: 3686: 3668: 3658: 3626: 3620: 3619: 3610: 10546482. 3598:(10): CD004372. 3586: 3575: 3574: 3572: 3570: 3555: 3549: 3548: 3546: 3544: 3529: 3523: 3522: 3520: 3518: 3503: 3497: 3496: 3494: 3492: 3477: 3466: 3465: 3463: 3461: 3446: 3440: 3439: 3415: 3409: 3408: 3406: 3405: 3390: 3379: 3368: 3362: 3361: 3352: 3346: 3345: 3317: 3311: 3310: 3304: 3296: 3288: 3282: 3281: 3268:Human Embryology 3263: 3250: 3249: 3239: 3215: 3209: 3208: 3198: 3166: 3160: 3159: 3141: 3117: 3111: 3110: 3108: 3106: 3091: 3085: 3084: 3062: 3053: 3052: 3042: 3010: 3004: 3003: 2983: 2977: 2976: 2966: 2942: 2936: 2935: 2917: 2911: 2910: 2900: 2876: 2865: 2864: 2854: 2822: 2816: 2815: 2805: 2795: 2771: 2765: 2764: 2754: 2722: 2716: 2715: 2705: 2681: 2675: 2674: 2664: 2632: 2626: 2625: 2615: 2591: 2582: 2581: 2563: 2554: 2553: 2543: 2503: 2494: 2493: 2483: 2465: 2441: 2435: 2434: 2433: 2432: 2409: 2403: 2402: 2400: 2398: 2383: 2377: 2376: 2374: 2372: 2359:Beerman, Lee B. 2356: 2350: 2349: 2339: 2322:(9963): 117–71. 2307: 2301: 2300: 2290: 2258: 2252: 2251: 2225: 2214: 2213: 2203: 2171: 2162: 2161: 2159: 2157: 2143: 2137: 2136: 2130: 2101: 2095: 2094: 2084: 2052: 2043: 2042: 2040: 2038: 2029:. July 1, 2011. 2019: 2002: 2001: 1999: 1997: 1988:. July 1, 2011. 1978: 1965: 1964: 1954: 1944: 1920: 1909: 1908: 1906: 1904: 1895:. July 1, 2011. 1885: 1876: 1875: 1873: 1856: 1845: 1816: 1815: 1813: 1811: 1802:. July 1, 2011. 1792: 1777: 1776: 1766: 1757:(12): 1890–900. 1742: 1685: 1679: 1673: 1667: 1661: 1655: 1649: 1643: 1637: 1631: 1572:Shone's syndrome 1309:Cyanotic defects 1111:Changes at birth 1105:pulmonary artery 1083:overriding aorta 1006:maternal obesity 934:LEOPARD syndrome 855:Small or absent 850:Small or absent 701: 490:Genetic lesions 487: 345:Digital clubbing 330:heart transplant 312:, the adding of 53: 33: 21: 4392: 4391: 4387: 4386: 4385: 4383: 4382: 4381: 4362: 4361: 4360: 4355: 4326:Cor triatriatum 4292:Underdeveloped 4277: 4227: 4154: 4126: 4108: 4090: 4067: 4004: 3999: 3954: 3935: 3930: 3929: 3906: 3905: 3841: 3827: 3822: 3821: 3811: 3809: 3800: 3799: 3795: 3759: 3758: 3751: 3698: 3697: 3690: 3628: 3627: 3623: 3588: 3587: 3578: 3568: 3566: 3557: 3556: 3552: 3542: 3540: 3531: 3530: 3526: 3516: 3514: 3505: 3504: 3500: 3490: 3488: 3479: 3478: 3469: 3459: 3457: 3448: 3447: 3443: 3432: 3417: 3416: 3412: 3403: 3401: 3392: 3391: 3382: 3369: 3365: 3354: 3353: 3349: 3319: 3318: 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1657: 1653: 1651: 1647: 1645: 1641: 1639: 1635: 1633: 1629: 1620: 1605:, and clinical 1598: 1581: 1436:Mitral stenosis 1354:Aortic stenosis 1350: 1311: 1275: 1259:aortic stenosis 1243: 1237: 1201:right ventricle 1194: 1186:Main articles: 1184: 1176: 1146: 1129: 1113: 1091:septum secundum 1024: 1018: 987:phenylketonuria 951: 930:Noonan syndrome 859: 854: 635: 592:Noonan syndrome 501:genetic testing 477: 469: 385: 338: 287:Marfan syndrome 283:Turner syndrome 31: 28: 23: 22: 15: 12: 11: 5: 4390: 4388: 4380: 4379: 4374: 4364: 4363: 4357: 4356: 4354: 4353: 4348: 4343: 4338: 4333: 4328: 4323: 4318: 4313: 4312: 4311: 4306: 4301: 4294:heart chambers 4289: 4287: 4283: 4282: 4279: 4278: 4276: 4275: 4274: 4273: 4268: 4258: 4257: 4256: 4251: 4246: 4235: 4233: 4229: 4228: 4226: 4225: 4224: 4223: 4218: 4213: 4208: 4198: 4197: 4196: 4191: 4186: 4175: 4173: 4166: 4160: 4159: 4156: 4155: 4153: 4152: 4147: 4146: 4145: 4134: 4132: 4128: 4127: 4125: 4124: 4118: 4116: 4110: 4109: 4107: 4106: 4100: 4098: 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497: 494: 491: 476: 473: 468: 465: 442: 441: 434: 427:Renal (Kidney) 423: 417: 411: 405: 399: 384: 381: 337: 334: 202: 201: 200:261,247 (2017) 198: 194: 193: 190: 186: 185: 182: 176: 175: 161: 157: 156: 149:antidepressant 130: 124: 123: 120: 116: 115: 106: 102: 101: 96: 90: 89: 82: 76: 75: 70: 64: 63: 55: 54: 46: 45: 42: 38: 37: 29: 26: 24: 14: 13: 10: 9: 6: 4: 3: 2: 4389: 4378: 4375: 4373: 4370: 4369: 4367: 4352: 4349: 4347: 4344: 4342: 4339: 4337: 4334: 4332: 4329: 4327: 4324: 4322: 4319: 4317: 4314: 4310: 4307: 4305: 4302: 4300: 4297: 4296: 4295: 4291: 4290: 4288: 4284: 4272: 4271:regurgitation 4269: 4267: 4264: 4263: 4262: 4261:mitral valves 4259: 4255: 4252: 4250: 4249:insufficiency 4247: 4245: 4242: 4241: 4240: 4239:aortic valves 4237: 4236: 4234: 4230: 4222: 4219: 4217: 4214: 4212: 4211:regurgitation 4209: 4207: 4204: 4203: 4202: 4199: 4195: 4192: 4190: 4189:insufficiency 4187: 4185: 4182: 4181: 4180: 4177: 4176: 4174: 4170: 4167: 4165: 4161: 4151: 4148: 4144: 4141: 4140: 4139: 4138:Cardiac shunt 4136: 4135: 4133: 4129: 4123: 4122:Ostium primum 4120: 4119: 4117: 4115: 4111: 4105: 4102: 4101: 4099: 4097: 4093: 4087: 4084: 4082: 4079: 4078: 4076: 4074: 4070: 4064: 4061: 4060: 4057: 4054: 4050: 4047: 4045: 4042: 4041: 4040: 4037: 4033: 4030: 4029: 4028: 4025: 4024: 4022: 4020: 4016: 4013: 4011: 4007: 4003: 3996: 3991: 3989: 3984: 3982: 3977: 3976: 3973: 3966: 3963: 3961: 3957: 3952: 3948: 3947: 3942: 3937: 3936: 3926: 3922: 3921: 3917: 3916: 3913: 3909: 3902: 3898: 3897: 3893: 3891: 3887: 3886: 3882: 3880: 3876: 3872: 3871: 3867: 3863: 3861: 3857: 3853: 3852: 3848: 3844: 3843: 3840: 3835: 3831: 3824: 3807: 3803: 3797: 3794: 3789: 3785: 3780: 3775: 3771: 3767: 3763: 3756: 3754: 3750: 3745: 3741: 3737: 3733: 3729: 3725: 3720: 3715: 3711: 3707: 3703: 3695: 3693: 3689: 3684: 3680: 3676: 3672: 3667: 3662: 3657: 3652: 3648: 3644: 3640: 3636: 3632: 3625: 3622: 3617: 3613: 3609: 3605: 3601: 3597: 3593: 3585: 3583: 3581: 3577: 3564: 3560: 3554: 3551: 3538: 3534: 3528: 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Index

Heart Malformation

ventricular septal defect
Specialty
Cardiology
Symptoms
bluish skin
Complications
Heart failure
Cyanotic heart defects
non-cyanotic heart defects
Risk factors
Rubella
pregnancy
alcohol
tobacco
antidepressant
obesity
catheter based procedures
heart surgery
heart transplantation
Prognosis
heart
great vessels
birth
cardiovascular disease
cyanosis
heart failure
birth defect
pregnancy

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